Individual
MISS LAURA ANN DISANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25 RIDGEWOOD RD, BEDFORD, NH 03110-6510
(603) 623-8805
Mailing address
5 MECCA LN, DERRY, NH 03038-4804
(603) 434-3043
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
504
NH
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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